Exploring the symptom of fatigue in patients with end stage renal disease

Catherine McAuley School of Nursing and Midwifery, Cork, Ireland.
Nephrology nursing journal: journal of the American Nephrology Nurses' Association (Impact Factor: 0.62). 01/2009; 36(1):37-9, 47.
Source: PubMed


End stage renal disease and renal replacement therapies predispose individuals to a multitude of unwanted symptoms. Fatigue is one of the most frequently reported and disruptive symptoms experienced by patients with ESRD. Living with fatigue places added burdens on individuals and can impact negatively on quality of life. Nephrology nurses must ensure that patients'fatigue is managed effectively. Researching interventions to reduce fatigue among patients with ESRD should therefore become a priority. This article provides a review of research on the symptom of fatigue in individuals living with ESRD.

    • "In ESRD patients, untreated fatigue may highly affect the quality of life and lead to patients’ increased dependency on others, weakness, loss of physical and psychological energy, social isolation, and depression. The elements that can affect the level of fatigue include depression, anemia, sleep disorders, and restless leg syndrome.[9] Medicational interventions such as consumption of growth hormone, anti-depressant and anti-anxiety medications, and levocarnitine and erythropoietin stimulating hormone, as well as non-medicational interventions such as nutrition therapy, sleep disorder treatment, stress management, sport, Yoga, depression treatment, drug abuse, and acupressure are used to lower hemodialysis patients’ fatigue.[7] "
    [Show abstract] [Hide abstract]
    ABSTRACT: Fatigue is considered as a major problem in hemodialysis patients and can impair their quality of life. The purpose of this study was to investigate the effectiveness of acupressure on fatigue in hemodialysis patients. This is a clinical trial study in which 96 hemodialysis patients participated. Patients were randomly assigned into acupressure, placebo, and control groups (32 subjects fulfilling the inclusion criteria assigned to each group). The measures included the form of demographic characteristics, visual analog scale of fatigue, and Piper Fatigue Scale. Patients in the acupressure and placebo groups received acupressure intervention during the early 2 h of dialysis on six acupoints with massage for 20 min/day, 3 days per week for 4 weeks. In the placebo group, acupressure intervention was performed as mentioned above with a distance of 1 cm away from the actual intervention site. Patients in the control group received routine unit care only. Chi- quare test, Kruskal-Wallis, paired t-test, one-way analysis of variance (ANOVA), and Duncan test were used for data analysis. One-way ANOVA tests showed significant differences in the total mean score of fatigue and fatigue mean scores in the behavioral, emotional, sensory, and cognitive dimensions in the acupressure, placebo, and control groups. The results of this study showed that acupressure may reduce fatigue in hemodialysis patients, and use of this non-pharmacologic technique for hemodialysis nurses is suggested.
    No preview · Article · Mar 2013 · Iranian journal of nursing and midwifery research
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Annotation: The purpose of this study was to comparative investigation of quality of life of athlete and non-athlete older adults. 160 Athletes and non-athletes male (age: 60-69 yr, 80 subjects for each group) were selected randomly from Ardabil city and SF-36 questionnaires completed by them. Health related quality of life was assessed using the SF-36 questionnaire. Multivariate analysis of variance (MANOVA) revealed that there were significant differences between athlete and non–athlete subjects regarding to dependent variables. Based on the research findings, it can be concluded that the quality of life of elderly people with a history of the exercise training is higher than non-athletes. Also, physical activity improves quality of life of older adults. Thus, its recommend that having the regular exercise and physical activity during youth and especially in old age is very affordable, and elderly care centers can used these training for increase quality of life of elders in society. Навид Лотфи, Яагхуб Hабиби, Саеид Райаби, Али Райаби. Сравнительное ис-следование качества жизни спортсменов и старших взрослых не спортсменов. Целью этого исследования является срав-нительный анализ качества жизни атлета и старших взрослых не атлетов. 160 атлетов и не атлетов мужчин (возраст: 60-69 лет, по 80 человек в каждой группе) было выбра-но случайным образом из города Ардабил, а также было составлены анкеты. Было оценено, с использованием анкет, оздоро-вительное качество жизни. Многомерный дисперсионный анализ (MANOVA) выявил, что были существенные отличия между атлетами и не атлетами относительно к за-висимым переменным. На основании полу-ченных исследовательских данных, может заключить, что качество жизни пожилых лю-дей, бывших спортсменов, более высокое, чем у не атлетов. Установлено, что физиче-ская деятельность улучшает качество жизни старших людей. Поэтому, рекомендуется регулярное выполнение упражнений и фи-зическая деятельность в течение юности и, особенно, к старости. Рекомендуются за-нятия в центрах, пригодных для пожилых людей, что является условием успешной заботы для улучшения качества жизни ста-рейшин в обществе. Навід Лотфі, Яагхуб Hабиби, Саєід Райабі, Алі Райабі. Порівняльне дослідження якості життя спортсменів і дорослих не спортсменів. Метою цього дослідження є порівняльний аналіз якості життя ат-лета і не атлетів старших дорослих. 160 атлетів і не атлетів чоловіків (вік: 60-69 років, по 80 чоловік в кожній групі) було вибрано випадковим чином з міста Ардабіл, а також було складені анкети. Було оцінено, з використанням анкет, оздоровча якість життя. Багатовимірний дисперсійний аналіз (MANOVA) виявив, що були істотні відзнаки між атлета-ми і не атлетами відносно до залеж-них змінних. На підставі отриманих дослідницьких даних, може стверджу-вати, що якість життя літніх людей, колишніх спортсменів, вище, ніж у не атлетів. Встановлено, що фізична діяльність покращує якість життя стар-ших людей. Тому, рекомендується регулярне виконання вправ і фізична діяльність протягом юності і, особли-во, до старості. Рекомендуються за-няття в центрах, придатних для літніх людей, що є умовою успішної турботи для поліпшення якості життя старійшин в суспільстві.
    Preview · Article ·
  • [Show abstract] [Hide abstract]
    ABSTRACT: End-stage renal disease is a complex, progressive and debilitating illness that affects patients' quality of life, physical and mental health, well-being, social functioning and emotional health. A cross-sectional survey was carried out in renal dialysis centres in Scotland to assess patients' health status and the impact of haemodialysis treatment on quality of life and well-being. Participants scored considerably lower than the UK general population in all domains of health-related quality of life, although mental health components were nearer to general population norms than physical health components. However, nearly half of the participants achieved a score on a general well-being questionnaire that was indicative of stress and anxiety. Increasing age was associated with better overall mental health but worse physical functioning. Increasing levels of hope and support were associated with improved general well-being.
    No preview · Article · Nov 2013 · International Journal of Nursing Practice
Show more